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Workforce planning and safe workload in sterile compounding hospital pharmacy services.
Chaker, Ahmed; Omair, Israa; Mohamed, Weam Hazem; Mahomed, Shuaib Haroon; Siddiqui, Mohammad Aslam.
  • Chaker A; Department of Pharmacy Services - Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
  • Omair I; Department of Pharmacy Services - Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
  • Mohamed WH; Department of Pharmacology and Therapeutics, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.
  • Mahomed SH; Department of Pharmacy Services - Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
  • Siddiqui MA; Department of Pharmacy Services - Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Am J Health Syst Pharm ; 79(3): 187-192, 2022 01 24.
Article in English | MEDLINE | ID: covidwho-1450365
ABSTRACT

PURPOSE:

A prospective observational study was conducted to assess sterile compounding time and workforce requirements in a hospital pharmacy, resulting in development of staff benchmarking metrics.

METHODS:

The study was conducted in the IV room of a quaternary hospital over 2 periods totalling 7 weeks. Compounding was directly observed and timing data collected for each compounded sterile preparation (CSP). The primary objective was to assess CSP workload, compounding time requirements, and workforce requirements to enable development of a data-driven staffing benchmark.

RESULTS:

A total of 320 sterile product preparations were directly observed during the study. Overall, the average time to compound 1 CSP (including small- and large-volume parenteral solutions, chemotherapy CSPs, batched CSPs, and syringes) was 3.25 minutes. Chemotherapy CSPs had the longest average preparation time (17.74 minutes); batched CSPs had the shortest preparation time, at 1.90 minutes per unit. A safe workload analysis indicated that in an 8-hour shift, 1 pharmacy technician can safely prepare 253 batched CSPs; 148 preparations of SVP solutions, LVP solutions, and syringes combined; 31 parenteral nutrition solutions prepared using an automated device; or 29 chemotherapy preparations. Through extrapolation of these results, it was calculated that a hospital with a capacity of 100 beds would require 1.4 pharmacist full-time equivalents (FTEs) and 2.7 technician FTEs to meet its sterile compounding needs, with proportionate increases in those estimates for a 300-bed hospital.

CONCLUSION:

Organizations wishing to use external benchmarking information need to understand data characterization, pharmacy services offered, automation, workflows, and workload before utilizing that information for workforce planning.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pharmacy Service, Hospital Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Am J Health Syst Pharm Journal subject: Pharmacy / Hospitals Year: 2022 Document Type: Article Affiliation country: Ajhp

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pharmacy Service, Hospital Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Am J Health Syst Pharm Journal subject: Pharmacy / Hospitals Year: 2022 Document Type: Article Affiliation country: Ajhp